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1356119572
JIVELI BANEGAS
BERKELEY, CA
NPI
1356119572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY P117198)
Enumeration Date
2023-12-18
Last Update Date
2023-12-18
Business Address
JIVELI BANEGAS
2150 SHATTUCK AVE
BERKELEY, CA 94704-1345
Phone number: 341-888-7637
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Mailing Address
JIVELI BANEGAS
87 ABERDEEN ST
ROCHESTER, NY 14619-1254
Phone number: 585-966-9127
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